MR. DOUGLAS R SIMMONS (NPI# 1053432260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053432260 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS R SIMMONS |
| Practice Address |
44 Mccoy Ave Box 8 Madisonville KY 42431 |
| Mailing Address |
Po Box 1062 Henderson KY 42419-1062 |
| Practice Telephone | 2708250020 |
| Practice Fax Number | 2078272995 |
| Mailing Telephone | 2708250020 |
| Mailing Fax Number | 2708272995 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA654 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95001798 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962892398 | Douglas A. Simmons | Counselor | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2015-01-23 |
| 1780813832 | Douglas A Simmons | Nurse Practitioner | 2585 E Wilcox Dr, Mark A Kaplan Pllc, Suite C, Sierra Vista, AZ 85635-2821 | 2009-07-10 |
| 1922281401 | Douglas Joseph Simmons | Occupational Therapy Assistant | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2007-12-07 |
| 1275743320 | Douglas Mac Arthur Simmons | Dentist | 6516 John Freeman St, Houston, TX 77030-3402 | 2007-05-23 |
| Street Address |
44 MCCOY AVE BOX 8 |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140165 | Bhaskaran N Sreekumar | Internal Medicine | 44 Mccoy Ave, Suite 379, Madisonville, KY 42431-2867 | 2005-11-10 |
| 1720437882 | Duska Suede Dixie Bethel | Registered Nurse | 44 Mccoy Ave, Suite Number 227, Madisonville, KY 42431-2867 | 2016-06-09 |
| 1053782193 | Owensboro Health Medical Group, Inc. | Internal Medicine | 44 Mccoy Ave, Suite 133, Madisonville, KY 42431-2867 | 2015-10-15 |
| 1679984256 | Baptist Health Madisonville, Inc | Orthopaedic Surgery | 44 Mccoy Ave, Suite 442, Madisonville, KY 42431-2867 | 2014-05-16 |
| 1902237399 | Baptist Health Madisonville Inc. | Orthopaedic Surgery | 44 Mccoy Ave, Madisonville, KY 42431-2867 | 2013-12-10 |
| 1639502966 | Community United Methodist Hospital Inc | Obstetrics & Gynecology | 44 Mccoy Ave, Madisonville, KY 42431-2867 | 2013-08-09 |
| 1447585484 | Jennifer Lynn Ford | Specialist/Technologist, Other | 44 Mccoy Ave, Suite 442, Madisonville, KY 42431-2867 | 2009-10-08 |
| 1184817827 | Crna Relief Pllc | Nurse Anesthetist, Certified Registered | 44 Mccoy Ave, Madisonville, KY 42431-2867 | 2007-08-27 |
| 1215121843 | Samantha J Snyder | Specialist/Technologist, Other | 44 Mccoy Ave, Suite 442, Madisonville, KY 42431-2963 | 2007-08-27 |
| 1861686495 | Crystal C. Menser | Specialist/Technologist, Other | 44 Mccoy Ave, Suite 442, Madisonville, KY 42431-2867 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254348 | Hammond Surgical Assist, L.L.C. | Physician Assistant | 160 Windermere Way, Madisonville, LA 70447-9262 | 2019-09-18 |
| 1528388592 | Gregory Brian Cain | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2010-06-01 |
| 1679510564 | Eric M. Hofmann | Physician Assistant | 1851 N Main St, Madisonville, KY 42431-9007 | 2006-06-01 |
| 1295213973 | Sandra Alexis Soriano | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2018-08-03 |
| 1023542784 | East Tennessee Pediatrics | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2017-04-19 |
| 1841731817 | Deletra Michelle Wilke | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2017-03-10 |
| 1972966612 | Rebecca V Tauil | Physician Assistant | 444 S Main St, Madisonville, KY 42431-2846 | 2016-03-31 |
| 1003295197 | Hunter Robinson Stidham | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431 | 2015-05-22 |
| 1407269368 | Behavioral Health Specialists Pllc | Physician Assistant | 465 Isbill Rd, Madisonville, TN 37354-2112 | 2014-06-09 |
| 1861818437 | Heidie A Fisher | Physician Assistant | 321 Tellico St S, Madisonville, TN 37354-1194 | 2014-03-06 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on MR. DOUGLAS R SIMMONS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.